Individual
MS. CONNIE CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 ALCAZAR ST, CHP-133, LOS ANGELES, CA 90089-0080
(323) 442-3550
Mailing address
704 S SIERRA VISTA AVE, APT D, ALHAMBRA, CA 91801-4545
(626) 863-6243
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2269
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/23/2015
Last updated
06/11/2019
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